Practices in San Antonio, TX use The Medical Billing to get claims paid correctly the first time. We code, submit and follow up on every claim for physicians, clinics and labs throughout Bexar County, and we report back on exactly where your money is.
Medical Billing for San Antonio's Healthcare Market
With major providers like the South Texas Medical Center, University Health, Methodist Healthcare and Baptist Health System in the area, San Antonio has a competitive healthcare market where patients often see several providers. Clean documentation, correct referring-provider information and timely authorizations make the difference between a paid claim and a denial — and that is where our team focuses.
Texas Payer Rules We Handle for San Antonio Practices
- Medicare: Part B claims go to Novitas Solutions; Medicare Advantage claims go to the patient's private plan with its own authorization rules.
- Medicaid: Texas Medicaid is run by the Texas Medicaid & Healthcare Partnership (TMHP), and most members are in STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans.
- Commercial plans: we bill Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna and Cigna and the employer plans common in Bexar County.
- Local detail: Texas has several Medicare payment localities (Houston, Dallas, Fort Worth, Austin and others), so the same CPT code can be paid at a different rate depending on where the service was performed.
What's Included for San Antonio Practices
- Insurance eligibility and benefits verification before each visit
- Medical coding (CPT, ICD-10-CM, HCPCS and modifiers) by certified coders
- Charge entry and claim scrubbing to catch errors before submission
- Electronic claim submission to Medicare, Texas Medicaid plans and commercial payers
- Denial management and appeals with root-cause tracking
- A/R follow-up on aging claims, worked daily
- Payment posting from ERAs and EOBs, including underpayment checks
- Credentialing and payer enrollment, including TMHP provider enrollment
- Monthly reporting on collections, denials and days in A/R
Why San Antonio Practices Outsource Billing to Us
Billing staff are hard to hire and harder to keep. Outsourcing gives your San Antonio practice a full team — coders, billers and A/R specialists — for a predictable cost, with coverage during vacations and turnover. You get monthly reports on collections, denial rates and days in A/R, so you always know how the practice is performing.
We also support practices in New Braunfels, Schertz, Converse and Boerne, and across the rest of the state — see our Texas medical billing services or nearby pages for Dallas and Austin. Specialty groups can read more about our hematology billing and cardiology billing services.
Specialties We Bill For in San Antonio
Frequently Asked Questions
Do you provide medical billing services in San Antonio, TX?
Yes. We work remotely with physician practices, clinics, specialty groups and labs in San Antonio and across Bexar County. We handle coding, claims, denials and A/R follow-up for Medicare, Texas Medicaid and commercial payers.
Which insurance payers do you bill for San Antonio practices?
Medicare Part B through Novitas Solutions, Medicare Advantage plans, Texas Medicaid and its managed care plans, and commercial payers such as Blue Cross and Blue Shield of Texas, UnitedHealthcare and Aetna.
Do you work with practices near San Antonio?
Yes — including New Braunfels, Schertz, Converse and Boerne. Billing is done remotely, so practices anywhere in Texas can work with us.
How much does medical billing cost for a San Antonio practice?
Most billing companies charge a percentage of monthly collections, commonly between 4% and 10% depending on specialty and claim volume. We give you a fixed quote after a free audit of your claims and A/R.
How long does it take to switch to your billing service?
It depends on how quickly payer and EHR access can be set up. We plan the transition so that existing A/R keeps being worked while new claims move to our team, and we share a timeline after the free audit.